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Biomedical subjects

N O Breum

Publications and source records attributed to N O Breum.

At least 19 recordsLinked to original sources

Cellulosic building insulation versus mineral wool, fiberglass or perlite: installer's exposure by inhalation of fibers, dust, endotoxin and fire-retardant additives.

A task-specific exposure matrix was designed for workers installing building insulation materials. A priori, a matrix element was defined by type of task (installer or helper), type of work area (attic spaces or wall cavities) and type of insulation material (slabs from mineral wool, fiberglass or flax; loose-fill cellulosic material or perlite). In the laboratory a mock-up (full scale) of a one-family house was used for simulated installation of insulation materials (four replicates per matrix element). Personal exposure to dust and fibers was measured. The dust was analyzed for content of endotoxin and some trace elements (boron and aluminum) from fire-retardant or mold-resistant additives. Fibers were characterized as WHO fibers or non-WHO fibers. In support of the exposure matrix, the dustiness of all the materials was measured in a rotating drum tester. For installers in attic spaces, risk of exposure was low for inhalation of dust and WHO fibers from slab materials of mineral wool or fiberglass. Slab materials from flax may cause high risk of exposure to endotoxin. The risk of exposure by inhalation of dust from loose-fill materials was high for installers in attic spaces and for some of the materials risk of exposure was high for boron and aluminum. Exposure by inhalation of cellulosic WHO fibers was high but little is known about the health effects and a risk assessment is not possible. For the insulation of walls, the risk of installers' exposure by inhalation of dust and fibers was low for the slab materials, while a high risk was observed for loose-fill materials. The exposure to WHO fibers was positively correlated to the dust exposure. A dust level of 6.1 mg/m3 was shown to be useful as a proxy for screening exposure to WHO fibers in excess of 10(6) fibers/m3. In the rotating drum, slabs of insulation material from mineral wool or fiberglass were tested as not dusty. Cellulosic loose-fill materials were tested as very dusty, and perlite proved to be extremely dusty.

Aluminum Oxide↗

Experimental generation of organic dust from compostable household waste.

The objective was to assess the influence of different waste storage systems on the emission of bioaerosols and gases from compostable household waste. Batches of waste were stored for 14 days in different storage systems: ventilated containers (compostainers) with or without added structure material and closed containers with or without a preservation additive. The microbial potential of the waste was measured with a rotating drum after storage. The weight loss in the compostainers (39%) was higher than in the closed containers (9%). Hydrogen sulphide and mercaptans developed in the closed container, and the concentration of ammonia increased continuously in both systems to 140 ppm. The microbial content for the incubated waste was high for closed containers compared to compostainers, and waste in closed containers generated a liquid rich in endotoxin and bacteria. The aerosols emitted from the waste consisted mainly of fungal spores, especially Aspergillus fumigatus, and no significant differences were observed between the systems. The endotoxin potential was high for waste stored in closed containers. The use of a preservative prevented microbial growth and reduced the emission of bioaerosols and gases substantially.

Aerosols↗

Exposure-response relationship between gastrointestinal problems among waste collectors and bioaerosol exposure.

OBJECTIVES: A high frequency of gastrointestinal problems has previously been reported for waste collectors. The present study relates the gastrointestinal problems to measurements of the bioaerosols that waste collectors are exposed to during work. METHODS: A job-exposure matrix was constructed from a combination of questionnaire data and field measurements. The questionnaire data were collected from 1747 male waste collectors and a comparison group of 1111 male municipal workers. Moreover a total of 189 full-shift personal samples was collected. The samples were used for characterizing the bioaerosol exposure described by viable fungi, total count of fungal spores, microorganisms, and endotoxins. RESULTS: In a multivariate analysis, high exposure to endotoxins was associated with nausea [prevalence proportion ratio (PPR) 1.60], and the risk of reporting nausea decreased with decreasing exposure so that workers with low exposure had the fewest reports (PPR 1.39) in the comparison with the unexposed group. High exposure to endotoxins was also associated with reports of diarrhea (PPR 5.60), and the risk of reporting diarrhea decreased with decreasing exposure so that the workers with low exposure had the fewest reports (PPR 3.02). The same pattern existed for exposure to fungi, for which high exposure resulted in the most reports (PPR = 4.59), and for diarrhea, for which low exposure resulted in the fewest reports (PPR = 3.15). CONCLUSIONS: An exposure-response relationship was found between nausea and endotoxin exposure and between diarrhea and exposure to both endotoxins and viable fungi.

Gastrointestinal Diseases↗

Dustiness of chopped straw as affected by lignosulfonate as a dust suppressant.

Many sources add to the concentration of bioaerosols in livestock buildings, and source control is the number one priority for keeping a low concentration. Straw is a common but dusty bedding material in livestock buildings and the present study is focused on the dustiness of chopped straw (barley) as affected by lignosulfonate (LS) as a dust suppressant. A LS-solution was aerosolized in a spray chamber fitted to an existing bedding chopper to allow the chopped straw to adsorb the LS-solution. The dustiness of straw treated with LS was compared to non-treated straw. As storage conditions may affect dustiness, the study included treated straw kept for 4 weeks in sealed plastic bags. Dustiness of the chopped straw was measured in terms of the potential of the straw to emit bioaerosols in a rotating drum. The LS-treated straw proved low in dustiness compared to the non-treated straw. The dustiness with respect to the mass of dust was reduced by at least a factor of 6, and for fungi and endotoxin the factors of reduction were 4 and 3, respectively. Dustiness of LS-treated straw kept in plastic bags was reduced by a factor of 2 for mass of dust and by a factor of 4 for endotoxin, but dustiness for fungi was increased by a factor of 3. It is concluded that lignosulfonate has potential as a dust suppressant for chopped straw.

Aerosols↗

Evaluation of evaporation and concentration distribution models--a test chamber study.

Occupational exposure to airborne volatile organic compounds is governed by the source strength and dispersion of the pollutant into workroom air. The purpose of the present test chamber study was to validate suggested models for the prediction of evaporation rates and concentration distributions. The study design was organized into different scenarios to simulate workplace conditions. Evaporation rates of organic compounds of different volatilities were recorded gravimetrically and the corresponding concentrations in air were measured at various locations equally distributed in the test chamber. The evaporation models generally showed a fair agreement with experiments but tended to underestimate the evaporation rate especially at low air velocity. Based on factorial experiments a new simple evaporation model was suggested. The performances of the concentration distribution models were of different quality. The model developed by Roach (Annals of Occupational Hygiene 24, 105-132, 1981) cannot be used in predicting the concentration distribution in case of a convective air flow. If knowledge of the evaporation rate and pollutant concentration at some distances from the source were available, the model suggested by Scheff et al. (Applied Occupational and Environmental Hygiene 7, 127-134, 1992) generated a concentration distribution in reasonable agreement with the observed data. The box-model (Sinden, Building and Environment 13, 21-28, 1978) generally offered a fair performance but tended to underestimate the pollutant concentration in a region close to the source in the direction of the main air flow.

Air Pollution, Indoor↗

Collection of domestic waste. Review of occupational health problems and their possible causes.

During the last decade, a growing interest in recycling of domestic waste has emerged, and action plans to increase the recycling of domestic waste have been agreed by many governments. A common feature of these plans is the implementation of new systems and equipment for the collection of domestic waste which has been separated at source. However, only limited information exists on possible occupational health problems related to such new systems. Occupational accidents are very frequent among waste collectors. Based on current knowledge, it appears that the risk factors should be considered as an integrated entity, i.e. technical factors (poor accessibility to the waste, design of equipment) may act in concert with high working rate, visual fatigue due to poor illumination and perhaps muscle fatigue due to high work load. Musculoskeletal problems are also common among waste collectors. A good deal of knowledge has accumulated on mechanical load on the spine and energetic load on the cardio-pulmonary system in relation to the handling of waste bags, bins, domestic containers and large containers. However, epidemiologic studies with exposure classification based on field measurement are needed, both to further identify high risk work conditions and to provide a detailed basis for the establishment of occupational exposure limits for mechanical and energetic load particularly in relation to pulling, pushing and tilting of containers. In 1975, an excess risk for chronic bronchitis was reported for waste collectors in Geneva (Rufèner-Press et al., 1975) and data from the Danish Registry of Occupational Accidents and Diseases also indicate an excess risk for pulmonary problems among waste collectors compared with the total work force. Surprisingly few measurements of potentially hazardous airborne exposures have been performed, and the causality of work-related pulmonary problems among waste collectors is unknown. Recent studies have indicated that implementation of some new waste collection systems may result in an increased risk of occupational health problems. High incidence rates of gastrointestinal problems, irritation of the eye and skin, and perhaps symptoms of organic dust toxic syndrome (influenza-like symptoms, cough, muscle pains, fever, fatigue, headache) have been reported among workers collecting the biodegradable fraction of domestic waste. The few data available on exposure to bio-aerosols and volatile compounds have indicated that these waste collectors may be simultaneously exposed to multiple agents such as dust containing bacteria, endotoxin, mould spores, glucans, volatile organic compounds, and diesel exhaust. Several studies have reported similar health problems as well as high incidence rates of pulmonary disease among workers at plants recycling domestic waste.(ABSTRACT TRUNCATED AT 400 WORDS)

Accidents, Occupational↗

Sorting and recycling of domestic waste. Review of occupational health problems and their possible causes.

In order to reduce the strain on the environment from the deposition of waste in landfills and combustion at incineration plants, several governments throughout the industrialized world have planned greatly increased recycling of domestic waste by the turn of the millennium. To implement the plans, new waste recycling facilities are to be built and the number of workers involved in waste sorting and recycling will increase steadily during the next decade. Several studies have reinforced the hypothesis that exposure to airborne microorganisms and the toxic products thereof are important factors causing a multitude of health problems among workers at waste sorting and recycling plants. Workers at transfer stations, landfills and incineration plants may experience an increased risk of pulmonary disorders and gastrointestinal problems. High concentrations of total airborne dust, bacteria, faecal coliform bacteria and fungal spores have been reported. The concentrations are considered to be sufficiently high to cause adverse health effects. In addition, a high incidence of lower back injuries, probably due to heavy lifting during work, has been reported among workers at landfills and incineration plants. Workers involved in manual sorting of unseparated domestic waste, as well as workers at compost plants experience more or less frequent symptoms of organic dust toxic syndrome (ODTS) (cough, chest-tightness, dyspnoea, influenza-like symptoms such as chills, fever, muscle ache, joint pain, fatigue and headache), gastrointestinal problems such as nausea and diarrhoea, irritation of the skin, eye and mucous membranes of the nose and upper airways, etc. In addition cases of severe occupational pulmonary diseases (asthma, alveolitis, bronchitis) have been reported. Manual sorting of unseparated domestic waste may be associated with exposures to large quantities of airborne bacteria and endotoxin. Several work functions in compost plants can result in very high exposure to airborne fungal spores and thermophilic actinomycetes. At plants sorting separated domestic waste, e.g. the combustible fraction of waste composed of paper, cardboard and plastics, the workers may have an increased risk of gastrointestinal symptoms and irritation of the eyes and skin. At such plants the bioaerosol exposure levels are in general low, but at some work tasks, e.g. manual sorting and work near the balers, exposure levels may occasionally be high enough to be potentially harmful. Workers handling the source-sorted paper or cardboard fraction do not appear to have an elevated risk of occupational health problems related to bioaerosol exposure, and the bioaerosol exposure is generally low.(ABSTRACT TRUNCATED AT 400 WORDS)

Equipment Reuse↗

Exposure to air contaminants in chicken catching.

A cross-sectional study of chicken catchers was carried out by personal sampling of air contaminants. The catchers used either the drawer method (DM) or truck method (TM) for loading chickens into cages. DM catchers were exposed to higher concentrations of hazardous substances than TM catchers, except for ammonia. In terms of geometric means total dust concentrations were 11.3 mg/m3 (DM catchers) and 8.1 mg/m3 (TM catchers). Full-shift dust exposure exceeded the Danish occupational exposure limit (OEL) of 3 mg/m3 for organic dust by at least a factor of 2. From paired personal sampling data the concentration of respirable dust ranged from 18% to 28% of the total dust concentration. The average exposure level to bacterial endotoxin in total dust at 82 ng/m3 for DM catchers and 42 ng/m3 for TM catchers exceeded a limit of 10 ng/m3 recommended for poultry processing industry workers in the United States. Endotoxin content of airborne dust averaged 6.5 +/- 4.9 ng/mg. Exposure to microorganisms was determined by microscopy (total count) and by culturing (viable count). The geometric means for total count (microorganisms/m3) were 7.0 x 10(8) (DM catchers) and 4.9 x 10(8) (TM catchers) and for viable count 3.2 x 10(7) cfu/m3 (DM catchers) and 1.4 x 10(7) cfu/m3 (TM catchers). The ratio of microorganisms counted by microscopy to levels of viable microorganisms ranged from 5 to 200, implying a strong underestimation of exposure levels from viable counts alone. It was concluded that Danish chicken catchers were exposed beyond recommended limits for the air contaminants evaluated.(ABSTRACT TRUNCATED AT 250 WORDS)

Air Microbiology↗

Occupational exposures to styrene in Denmark 1955-88.

An assessment of the occupational exposure to styrene and associated chemicals in Denmark was carried out by retrieving all measurements from the archives of the Danish National Institute of Occupational Health. A total of 2,528 air samples containing styrene had been collected from 256 workplaces during the years 1955-88 and analyzed by the chemical laboratory at the Institute. The mean for all samples was 265 mg/m3. The concentration decreased from 714 mg/m3 in the early period (1955-70) to 172 mg/m3 in the late period (1981-88). Spraying and unspecified lay-up and production of boats, carriages, and stationary containers were associated with the highest concentration. A total of 34 chemicals were measured. The most frequent co-contaminant to styrene was acetone, which was measured in 2,263 samples with a mean concentration of 131 mg/m3. Dichloromethane was measured in 208 samples with a mean concentration of 51 mg/m3, xylene in 148 samples with a mean concentration of 49 mg/m3, and toluene in 116 samples with a mean concentration of 113 mg/m3. The study was undertaken to analyze historical styrene concentrations in air to aid in the selection of industrial cohorts to be included in epidemiologic studies.

Air Pollutants, Occupational↗

Exposure to silica dust in the Danish stone industry.

Exposure to silica dust among Danish stone workers was assessed from data collected in 1948-1980. After 1970, the exposure level was given in milligrams per cubic-meter and an exposure index (concentration of respirable dust divided by the threshold limit value for quartz) was calculated. The median index was 2.1 for the road and building material industry and 0.6 for the stonecutting industry. Crushing showed a median index of 2.6, compared to 1.0 for drilling, 0.9 for sieving, and 0.5 for cutting. The median index for the road and building material industry was higher for Bornholm than for other parts of Denmark. The median index of the stonecutting industry was 1.0 for Copenhagen and 0.5 for other parts of Denmark, and no data were available for Bornholm. Before 1970, the exposure level was given in particles per cubic meter, and few data were available on quartz content. Crushing showed the highest exposure before 1970.

Air Pollutants, Occupational↗

Effect on health of man-made mineral fibres in kindergarten ceilings.

The relation between the presence of readily visible man-made mineral fibre (MMMF) products in the ceilings and the presence/frequency of symptoms and diseases, and the correlation between the presence/frequency of symptoms and diseases and the concentration of MMMF in the indoor environment was investigated in 24 kindergartens. A combination of traditional epidemiological techniques and a technical analysis of a number of indoor air parameters did not support the hypothesis that release of MMMF from readily visible MMMF products in the ceilings was mainly responsible for the occurrence of symptoms or diseases related to indoor exposure in kindergartens.

Adult↗

Elimination of waste anaesthetic gases from operating theatres.

At present, waste anaesthetic gases in the operating theatre are eliminated by room ventilation and by additional measures such as scavenging by a double-mask system and a local exhaust system. A simple technique is proposed for measuring the capture efficiency (E) of different scavenging systems. E is the ratio of the waste anaesthetic gases captured by a system to the total quantity of waste anaesthetic gases produced. In a field study on existing unmodified system, E from a phantom pollutant source was measured using a portable measuring unit designed for displaying test results on location. The pollutant source was a leaking double-mask system. When scavenging from the double-mask system, E was 98% at an exhausted airflow of 28-33 m3/h. Using a local exhaust system at an airflow of 30 m3/h, E ranged from 20 to 96%, depending on the distance between the mask and the nozzle of the exhaust system.

Air Pollutants, Occupational↗

Correlating health effect with indoor air quality in kindergartens.

In 24 kindergartens the relation between the presence of readily visible, man-made mineral-fiber products in the ceilings and the presence/frequency of symptoms or diseases and the correlations between complaints of symptoms or disease and the concentration of man-made mineral-fibres in the indoor environment was investigated. A combination of traditional epidemiological technique and a technical analysis of a number of indoor-air parameters did not support the hypothesis that the presence of readily visible man-made mineral-fiber products in the ceiling should be mainly responsible for the occurrence of symptoms and/or disease related to indoor exposure in kindergartens.

Adult↗